Effects of psychological nursing in patients with endotracheal intubation: a Meta analysis

Abstract

Objective To evaluate the effects of psychological nursing in patients with endotracheal intubation. Methods The data were literatures and references of randomized controlled trials (RCTs) about the effects of psychological nursing on patients with endotracheal intubation, which published from January 1998 to January 2014. The data were collected from the databases of PubMed, MEDLINE, Cochrane Central Register of Controlled Trials, CNKI and Wanfang Database. The qualified data were extracted from valid RCT and Meta analyzed using RevMan 5.1 software. Results There were eight RCTs involved in the research and Meta-analysis showed that there were no statistical difference between psychological nursing group and control group in dependence rate (OR=0.65, 95%CI: 0.23-1.87, P=0.43), weaning ventilator rate (OR=1.99, 95%CI: 0.87-4.52, P=0.10), and reintubation rate (OR=0.44, 95%CI: 0.14-1.41, P=0.17). However, the statistical significances shown in anxiety degree (WMD=-8.68, 95%CI: -13.57- -3.79, P=0.0005), anxiety (OR=0.05, 95%CI: 0.01-0.38, P=0.003), depression (OR=0.18, 95%CI: 0.07~0.42, P<0.001), fear (OR=0.17, 95%CI: 0.06-0.49, P=0.001), hallucination (OR=0.34, 95%CI: 0.15-0.77, P=0.010), desperation (OR=0.09, 95%CI: 0.03-0.25, P<0.001) and unplanned extubation (OR=0.15, 95%CI: 0.05-0.42, P=0.0003). Conclusions Based on the routine nursing, psychological nursing can significantly decrease the ICU syndromes in patients with endotracheal intubation, such as anxiety degree and incidence rate, depression, fear, hallucination, desperation, and unplanned extubation. Key words: Psychological nursing; Endotracheal intubation; Nursing care; Meta-analysis